Organization Active NPI

Taylor Dermatology, PA

  • Dermatology Physician
  • Pensacola, FL
National Provider Identifier
1669129011
Registry record updated Mar 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
TAYLOR DERMATOLOGY, PA
Practice address
600 E Government St
Pensacola, FL 32502-6136
Phone
(850) 888-0121
Fax
(850) 202-7015
NPI assigned
Mar 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Andi Taylor, MD
Title
Owner
Phone
(850) 888-0121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

600 E Government St
Pensacola, FL 32502-6136

Mailing address

600 E Government St
Pensacola, FL 32502-6136
Phone (850) 888-0121

Other names 1

  • Taylor Dermatology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220412002977 FL Part B Supplier - Clinic/Group Practice 8628464930 Receives reassigned benefits from 1 practitioner
Practice locations: Pensacola, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2258410Taylor Dermatology, PA600 East Government Street, Pensacola, FL 32502Provider-performed microscopyApr 20, 2028

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00294

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646524800000",
    "number": "1669129011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E GOVERNMENT ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325026136",
            "telephone_number": "850-888-0121",
            "fax_number": "850-202-7015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E GOVERNMENT ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325026136",
            "telephone_number": "850-888-0121",
            "fax_number": "850-202-7015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR DERMATOLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-06",
        "last_updated": "2022-03-06",
        "certification_date": "2022-03-06",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "ANDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-888-0121",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Taylor Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.